ONE CROSS MEDICAL CLINIC – NPI #1538636311
Clinic/Center

ONE CROSS MEDICAL CLINIC is an AHC clinic located in LEBANON, KY. NPPES has assigned the NPI number 1538636311 to ONE CROSS MEDICAL CLINIC on October 30, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ONE CROSS MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is ONE CROSS HEALTH CLINIC, INC.. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 7 years ago on Jan 21, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ONE CROSS MEDICAL CLINIC below.

NPI Profile for
ONE CROSS HEALTH CLINIC, INC.

NPI Number
1538636311
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ONE CROSS HEALTH CLINIC, INC.
Doing Business As (dba): ONE CROSS MEDICAL CLINIC
Primary location
305 KOEHLER DRIVE
LEBANON, KY 40033
Phone: (270) 789-0034 Fax:
Mailing address
102 WINSTON WAY STE 5
CAMPBELLSVILLE, KY 42718-4991
Phone: (270) 789-0034 Fax: (270) 789-0097
Organization Subpart
Yes - ONE CROSS MEDICAL CLINIC is subpart of another organization.
Authorized Official
KIMBERLY MCKENNA
PRESIDENT/CEO
Phone: (270) 789-0034
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.